Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Comparing the clinical efficacy of multiple vs. single dose ozone (O2-O3) injections and corticosteroid injection in subacromial impingement syndrome: A prospective, randomized controlled trial with One-Year Follow-Up.","authors":"Mehmet Cenk Turgut, Yavuz Şahbat, Ali Afşar, Aslı Turgut, Muhammed Çağatay Engin, Gonca Sağlam Akkaya","doi":"10.1177/10538127251322859","DOIUrl":"https://doi.org/10.1177/10538127251322859","url":null,"abstract":"<p><p>BackgroundOzone (O2-O3) therapy, is a novel and increasingly utilized intervention in musculoskeletal medicine. This therapeutic approach has gained attention for its potential in managing conditions such as chronic pain, arthritis, and soft tissue injuries, offering a minimally invasive alternative to conventional treatments.ObjectiveThis study aims to explore the effectiveness of multiple-dose ozone injections in subacromial impingement syndrome (SAIS) and to compare it with single-dose ozone and corticosteroids regarding patient-related clinical outcomes.MethodsThis single-center prospective randomized controlled clinical trial comprised 108 SAIS patients divided into three groups: Group 1, multiple-dose ozone (50 mcg ozone/ week for five weeks); Group 2, single-dose ozone (50 mcg ozone) and Group 3, single-dose corticosteroid (40 mg triamcinolone). The pain, functionality, and quality of life of the patients were evaluated via the Visual Analogue Scale (VAS), Constant-Murley score (CMS), University of California Los Angeles Shoulder Scale (UCLA), and 36-Item Survey Short-Form (SF-36) in three, six and twelve months. ANOVA/Friedman's test was applied to evaluate the statistical differences between the groups for each outcome measure at each time point.ResultsThe mean age of the study population was 53.3 ± 3.1 years, and 52.8% of them were female. In the first week, the steroid group scored less than the other two groups (p < 0.001) in VAS. At 3, 6, and 12 months, CMS was significantly higher in the multiple ozone group compared to the other two groups (p < 0.001 for all). UCLA scores increased in all groups, with the greatest improvement observed in the multiple ozone group. After 12 months, all groups differed significantly in SF-36 scores (65.0 [11.0] in the multiple-ozone group, 43.5 [4.8] in the ozone group, and 40.0 [11.0] in the steroid group, p < 0.001).ConclusionsMultiple ozone (O2-O3) injections had better patient-related outcomes regarding pain, functioning, and quality of life in patients with SAIS in 3-m, 6-m, and one-year follow-up periods.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251322859"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of self-reported temporomandibular pain on neck disability in office workers.","authors":"Tugba Sahbaz, Basak Cigdem-Karacay, Cansın Medin-Ceylan, Merve Damla Korkmaz, Hatice Kubra Asik","doi":"10.1177/10538127251315829","DOIUrl":"https://doi.org/10.1177/10538127251315829","url":null,"abstract":"<p><p>BackgroundNeck pain (NP) and temporomandibular disorder (TMD) pain often coexist, particularly among office workers, but their interaction and impact on neck disability remain insufficiently explored.ObjectivesTo investigate the prevalence of self-reported TMD pain in office workers with NP and assess its impact on neck disability.MethodsThis cross-sectional survey collected data through an online questionnaire from 662 office workers (66.3% female; mean age: 35.4 ± 8.9 years) with NP. Participants were categorized into two groups: isolated NP (NP group) and coexisting NP and temporomandibular disorder pain (NP + TMD pain group). TMD diagnosis was based on the Pain Screener. Neck pain and disability were assessed using the Bournemouth Neck Questionnaire (BNQ) and Neck Disability Index (NDI). Parafunctional behaviors were evaluated using the Oral Behaviors Checklist (OBC). Statistical significance was set at p < 0.05.ResultsThe NP + TMD pain group had significantly higher BNQ and NDI scores than the NP group (p < 0.001), indicating more severe pain and disability. Additionally, 69.1% of the NP + TMD pain group reported awake bruxism compared to 37.7% in the NP group (p < 0.001). Joint noises (80.5% vs. 6.9%) and jaw locking (30.1% vs. 1.9%) were also more frequent in the NP + TMD pain group (p < 0.001). Logistic regression showed that high OBC scores, joint noises, and closed jaw locking were strong predictors of NP + TMD pain.ConclusionThe findings reveal significant correlations between NP and TMD pain, but the cross-sectional design limits conclusions about causation. Further longitudinal or interventional studies are needed to explore whether TMD pain contributes to NP, vice versa, or if both share common underlying mechanisms.Clinical Trials Number: NCT04900870.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251315829"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The patient enablement instrument for back pain turkish version, validity and reliability study.","authors":"Erkan Erol, Halime Arikan","doi":"10.1177/10538127251322855","DOIUrl":"https://doi.org/10.1177/10538127251322855","url":null,"abstract":"<p><p>BackgroundThe only survey that assesses the ability of individuals with low back pain to self-manage their condition is the Patient Enablement Instrument for Back Pain (PEI-BP).ObjectiveThe study aims to create a Turkish version of PEI-BP and test its validity and reliability.Methods67 individuals (47 females, 20 males) with low back pain participated, comprising. Reliability was evaluated through test-retest reliability, internal consistency, and repeatability measures. Validity was assessed via structural, content, face validity analyses. Floor and ceiling effects were examined to ensure a comprehensive evaluation. Additionally, the relationship between PEI-BP and pain intensity, Brief Illness Perception Questionnaire (BIPQ), Fear Avoidance Beliefs Questionnaire (FABQ), Oswestry Disability Index (ODI), and Short Form-36 (SF-36) was explored.ResultsThe Intraclass Correlation Coefficient value (0.795) and Cronbach's α (0.886) of PEI-BP were high. The goodness-of-fit values for the model, including fit indices and reference ranges, indicated strong validity. The PEI-BP demonstrated the absence of both floor and ceiling effects. Correlations between PEI-BP and pain intensity, BIPQ, FABQ, ODI, and SF-36 exhibited a range from weak to good (0.258 to -0.440).ConclusionsPEI-BP has demonstrated high reliability and good validity. PEI-BP can be used to evaluate Turkish-speaking individuals with low back pain.<b>ClinicalTrials.gov ID:</b> NCT06109246 (Date: 10/25/2023).</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251322855"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of return-to-sport criteria based on the results of the single-leg standing-up test.","authors":"Koichi Kamiike, Akira Sakaguchi, Rui Tsukagoshi, Masami Hidaka, Kotaro Kawaguchi","doi":"10.1177/10538127251314027","DOIUrl":"https://doi.org/10.1177/10538127251314027","url":null,"abstract":"<p><p>BackgroundAnterior cruciate ligament (ACL) reconstruction typically requires a hamstring-to-quadriceps muscle strength ratio (H/Q ratio) of at least 55% for safe return to sports, as measured via isokinetic dynamometry. The single-leg standing-up (SLS) test is sometimes used to assess lower extremity strength. Establishing SLS as a return-to-sport criterion may provide a clinically accessible alternative.ObjectiveThis study aimed to evaluate whether SLS performance could serve as an alternative return-to-sports criterion.MethodsEighty-five patients who underwent ACL reconstruction were enrolled in this study. Knee extension and flexion strengths were assessed to calculate the H/Q ratio. SLS was initiated at a height of 30 cm, with the height reduced by 10 cm per attempt until success. The participants were categorized according to their maximum height and knee strengths, and H/Q ratios were compared.ResultsKnee extension strength did not vary significantly across the groups; however, knee flexion strength and H/Q ratio showed notable differences. The participants who completed SLS from 20 cm demonstrated an H/Q ratio of 55% or higher, meeting the threshold for sports resumption.ConclusionThese results indicate that achieving SLS from a 20 cm height may be a feasible criterion to assess readiness for sports resumption after ACL reconstruction.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251314027"},"PeriodicalIF":1.4,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of kinesiophobia on clinical parameters in sacroiliac joint dysfunction: A cross-sectional study.","authors":"Cemal Arman Öztürk, Bilge Targıtay Öztürk, Hülya Ellidokuz, Zehra Dinç Demir, Elif Akalın","doi":"10.1177/10538127251314700","DOIUrl":"https://doi.org/10.1177/10538127251314700","url":null,"abstract":"<p><p>BackgroundSacroiliac joint dysfunction (SJD) is often recognized as a contributing factor to chronic low back pain. Nevertheless, studies evaluating the connection between SJD and kinesiophobia are currently lacking.ObjectiveIt aims to examine the occurrence of kinesiophobia and its impact on emotional well-being, spinal flexibility, disability, quality of life and pain in individuals with SJD.MethodsThe study assessed the occurrence of kinesiophobia and its clinical effects in 55 patients with SJD. The Tampa Scale of Kinesiophobia (TSK) was utilized to measure kinesiophobia. Clinical parameters were evaluated using Oswestry Disability Index (ODI), 36-Item Short Form Survey (SF-36), Hospital Anxiety and Depression Scale (HADS), finger-to-floor distance test (FTF), Visual Analogue Scale (VAS) and the modified Schober Test (MST).ResultsParticipants were grouped based on their TSK scores. SJD symptom duration was longer in patients with kinesiophobia compared to those without (p = 0.002) and a positive relationship was identified between symptom duration and TSK scores (p < 0.001). Higher mean VAS score (p = 0.047), ODI (p = 0.003) and HADS-Depression sub-scores (p = 0.024) were determined in kinesiophobic group. Although HADS-Anxiety sub-scores were higher in the kinesiophobic group, these scores did not exceed the cut-off value in both groups. A significant association was identified between ODI and TSK scores (ρ=0.467 p = 0.002), and between FTF distance and TSK scores in the kinesiophobic group (ρ=0.307 p = 0.046).ConclusionKinesiophobia has the potential to elevate the risk of developing chronic pain. Therefore, identifying kinesiophobia in individuals with SJD and incorporating it into treatment strategies may enhance rehabilitation outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251314700"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of kinesiophobia on lumbar position sense in patients with chronic low back pain-a case-control study.","authors":"Praveen Kumar Kandakurti, Arthur de Sá Ferreira, Leandro Alberto Calazans Nogueira, Watson Arulsingh Daniel Ragland, Sharad S Patil","doi":"10.1177/10538127251326152","DOIUrl":"https://doi.org/10.1177/10538127251326152","url":null,"abstract":"<p><p>BackgroundChronic lower back pain condition (CLBP) was reported with a significantly higher disability levels and fear-avoidance beliefs than their asymptomatic counterparts. However, the anecdotal evidence is there to support whether kinesiophobia had impacted the level of lumbar position sense among CLBP. The aim of the study was to analyze the relation between kinesiophobia, and lumbar position sense in patients with CLBP and asymptomatic individual.MethodsThis is part of a major case-control study proceeded with 200 patients with CLBP and 400 controls. Kinesiophobia, and lumbar position sense were assessed with Tampa Scale for Kinesiophobia, and lumbar re-positioning test, respectively. Functional ability was measured with a patient- specific Functional Scale in patients with CLBP. Regression models was administered to explore the complex relation between kinesiophobia, and lumbar position sense.ResultsKinesiophobia was reported high among patients with CLBP (30%) than in controls (11%) with the mean difference of 6.49 ± 0.52, d = 1.07 and lumbar position sense (0.09) were positively correlated with kinesiophobia.Discussion and conclusionAlthough a higher rate of kinesiophobia was reported among patients with CLBP when compared to controls, majority of cases with CLBP did not report Kinesiophobia. Further, Kinesiophobia was found to influence lumbar position sense among patients with CLBP.ClinicalTrials.gov Identifier: NCT05079893 Registered on 14/10/2021.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251326152"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can ultrasound-guided steroid injection lead to an improvement in the symptoms of pregnancy-related carpal tunnel syndrome? With splint or alone?","authors":"Suna Aşkın Turan, Zafer Bütün, Masum Kayapınar, Hasan Turan","doi":"10.1177/10538127251323323","DOIUrl":"https://doi.org/10.1177/10538127251323323","url":null,"abstract":"<p><p>BackgroundPregnancy-related carpal tunnel syndrome (PRCTS) is the most common mononeuropathy during pregnancy.Objectiveto compare the efficacy of ultrasound (US)-guided steroid injection alone versus wiht splinting on symptom severity on PRCTS.MethodsThis retrospective cohort study included 37 pregnant women in their third trimester with PRCTS, treated with ultrasound-guided steroid injection of 4 mg dexamethasone into the median nerve (Group I, n = 15), volar splinting in a neutral position while sleeping and during the day whenever possible for at least ten weeks (Group S, n = 12), or both injection and splinting (Group I + S, n = 10). Patient data were collected from hospital records, and symptoms were assessed using the Boston Carpal Tunnel Symptom Questionnaire (BCTQ), the Douleur Neuropathique 4 (DN4) and the Numeric Rating Scale (NRS). Statistical analyses included Student's t-test, Mann-Whitney U test, Fisher's exact test, ANOVA, Kruskal-Wallis test, descriptive analyses, and power analyses.ResultsDuring the first month of intervention, group S had higher BCTQ scores than the other two groups <i>(p < 0.001</i>). In the postpartum period, the order of scores was Group S > Group I > Group I + S <i>(p < 0.001).</i> The effect size was significant with Partial eta squared = 0.369.ConclusionThe combination of splinting and injection seems to be more effective in the short term period. But still, to validate our findings, Additional randomized controlled trials are recommended.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251323323"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low back pain and sitting time, posture and behavior in office workers: A scoping review.","authors":"Nuray Alaca, Ali Ömer Acar, Sergen Öztürk","doi":"10.1177/10538127251320320","DOIUrl":"https://doi.org/10.1177/10538127251320320","url":null,"abstract":"<p><p>BackgroundOffice workers spend approximately two-thirds of their daily work time in a sitting position.ObjectiveThis scoping review aimed to identify and categorize key themes and knowledge gaps in research on how sitting time, posture, and behavior affect the risk of low back pain among office workers.MethodsThe authors conducted a comprehensive literature search in electronic databases [MEDLINE [via PubMed], SCOPUS, CINAHL, PEDro, and CENTRAL] from inception to March 2024, resulting in 22 studies involving 7814 participants. The methodological quality of these studies was assessed using the Mixed Methods Appraisal Tool (MMAT).ResultsSeventeen studies [77%] were rated as high quality, four studies [18%] as moderate quality, and one study [5%] as low quality. Thirteen studies assessed sitting time, ten assessed sitting posture, and thirteen assessed sitting behavior. Among the studies investigating sitting time, five showed no relationship with low back pain (LBP) prevalence, while eight demonstrated a relationship with LBP prevalence. For studies exploring sitting posture, seven found a relationship with LBP. Regarding studies on sitting behavior, only one showed no relationship between LBP prevalence, while twelve indicated a relationship.ConclusionsLonger sitting time, poor sitting posture, fewer breaks and more static sitting in sitting behavior, were found to be associated with LBP. The strongest evidence for an association with LBP was found for sitting behavior. When considering workplace ergonomics and interventions for LBP, it is advisable to consider all factors, including sitting, posture and behavior.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251320320"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An overlooked cause of groin pain: Ischiofemoral impingement syndrome.","authors":"Cemre Ozenbas, Duygu Engin, Tayfun Altinok","doi":"10.1177/10538127251325843","DOIUrl":"https://doi.org/10.1177/10538127251325843","url":null,"abstract":"<p><p>BackgroundIschiofemoral impingement syndrome (IFI) is a condition characterized by narrowing of the space between the ischium and femur, potentially compressing the quadratus femoris muscle. Although associated with hip pain, its role in groin pain is underexplored.ObjectiveTo assess the relationship between IFI and groin pain and examine the association between quadratus femoris muscle edema and ischiofemoral space (IFS) and quadratus femoris space (QFS) measurements.MethodsA retrospective study was performed on 568 hips from 284 patients who underwent pelvic MRI between January and September 2024. Patients were grouped based on groin pain. IFS and QFS were measured on T1-weighted axial MRI images, and quadratus femoris muscle edema was evaluated on T2-weighted fat-suppressed axial images. Statistical analysis included the Independent Samples t-test, Pearson Chi-square test, and ROC analysis, with significance set at p < 0.005.ResultsGroin pain was present in 23 of 568 hips (4%), with quadratus femoris muscle edema detected in 19 of these cases (82.6%, p < 0.001). Quadratus femoris edema was found in 116 of the 568 hips (20.4%). IFS and QFS measurements were significantly lower in patients with quadratus femoris edema. ROC analysis revealed an IFS cut-off of 16 mm (86.5% sensitivity, 80.3% specificity) and a QFS cut-off of 9.5 mm (92% sensitivity, 93.2% specificity).ConclusionsIFI should be considered in the differential diagnosis of unexplained groin pain, as smaller IFS and QFS are linked to quadratus femoris muscle edema.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251325843"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between pressure pain threshold and L4-5 supraspinous ligament biomechanics after cesarean delivery under spinal anesthesia.","authors":"Mohamed G Ali, Rehab S Mamoon, Reem M Alwhaibi, Mohammed A M Sarhan, Amel M Yousef, Fahima M Okeel, Hoda M Zakaria, Abeer A Mohammed, Mohammed A Soliman, Mohammad Auais","doi":"10.1177/10538127251318943","DOIUrl":"https://doi.org/10.1177/10538127251318943","url":null,"abstract":"<p><p>BackgroundLocalized low back pain is a frequent complaint after spinal anesthesia for cesarean delivery (CD).ObjectivesThis study aimed to examine the pressure pain threshold (PPT) and biomechanical properties (stiffness, elasticity, relaxation time, and creep) of the L4-5 supraspinous ligament at the spinal anesthesia needle insertion site in women who had CD. These measurements were compared with those from the controls who never had pregnancy or anesthesia, and correlations between the variables were explored.MethodsA retrospective cohort study involved 44 women, divided into two groups. Group A: 22 women experienced spinal anesthesia for CD, and Group B: 22 women represented the controls. L4-5 supraspinous ligament's PPT was measured using pressure algometry, and its biomechanical properties were assessed with the MyotonPRO device.ResultsSignificant differences were found in PPT between the two groups (P = 0.0001), but non-significant differences were observed in stiffness, elasticity, relaxation time, or creep (P = 0.318, 0.344, 0.241, and 0.227, respectively). There were also non-significant correlations between PPT and biomechanical properties.ConclusionWomen who experienced spinal anesthesia for CD showed increased tenderness and lower PPT at the L4-5 site, 6-12 weeks postpartum, with minor changes in supraspinous ligament biomechanics. The relationship between PPT and these properties was negligible.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318943"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}